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We <br />City of Everett <br />CHART NO <br />CALL 48 HOURS <br />BEFORE YOU DIG <br />Sewer Application and Permit I 1-800-562-6478 <br />October 5, 1981 L_ <br />No. 24089 DATE <br />3510 Hoyt Utility Account No._ <br />Service Address <br />Permit Fee none _ <br />Billing Address -- <br />Connection Charge(s)_ <br />C,ty, State, Zip none <br />Owner (Mortgagor) <br />Billing Name_ <br />Connection BY_ <br />Phone <br />DESCRIPTION: <br />Lot — <br />Plat _-- — <br />Unplatted Description <br />Total <br />City of Everett <br />Don Miller <br />Signed Customer <br />Sewer District <br />Block — Monthly Sewer Service, <br />_ Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />CUSTOMER COPY <br />\butting Lot Line <br />N,S,E,W <br />R. A. Theal <br />4pproved BY City Engineer <br />E. Bond <br />Issued Bye <br />Inspection By -- <br />Date ! nspected fi e — S — " <br />No. 24089 <br />